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. 2024 May;54(6):910-921.
doi: 10.1007/s00247-024-05892-x. Epub 2024 Feb 28.

Pediatric orbital lesions: non-neoplastic extraocular soft-tissue lesions

Affiliations

Pediatric orbital lesions: non-neoplastic extraocular soft-tissue lesions

Samantha K Gerrie et al. Pediatr Radiol. 2024 May.

Abstract

Orbital pathologies can be broadly classified as ocular, extraocular soft-tissue (non-neoplastic and neoplastic), osseous, and traumatic. In this paper, we discuss the key imaging features and differential diagnoses of congenital and developmental lesions (dermoid cyst, dermolipoma), infective and inflammatory pathologies (pre-septal cellulitis, orbital cellulitis, optic neuritis, chalazion, thyroid ophthalmopathy, orbital pseudotumor), and non-neoplastic vascular anomalies (venous malformation, lymphatic malformation, carotid-cavernous fistula), emphasizing the key role of CT and MRI in the imaging work-up. In addition, we highlight the adjunctive role of ocular ultrasound in the diagnosis of dermoid cyst and chalazion, and discuss the primary role of ultrasound in the diagnosis of vascular malformations.

Keywords: Computed tomography; Infection; Inflammation; Magnetic resonance imaging; Orbit; Ultrasound; Vascular malformations.

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